Please complete and send with a $15 Branch check made out to SCA Inc. ACCEPS to:
Terri Busa
14201 Brushwood Drive
Willis, TX 77318
Kingdom:Host Branch:
Name of Event:
Kingdom Calendar (for NMS Determination)
Event Start Date: Event End Date:
Event Physical Location:
Event Web Site:
Event StewartSCA Name:
(Autocrat)Modern Name:
Phone Number:936 5190024Post:
Please No Calls After Time: Time Zone
E-Mail: Post:
Choose One:SCA Name:
Modern Name:
Phone Number:Post:
Please No Calls After Time: Time Zone
E-Mail: Post:
- Additional Contact People may be listed (no limit). Please list additional contacts at the end of the application (attach additional pages if necessary).
- ALL information will be included on the event page unless otherwise indicated above.
REFUND POLICY:Select Suggested Policy and/or add your own
All refunds must be requested of the host branch and will be issued by a check from that branch.
The ACCEPS processing fee is non-refundable.
Refunds may be requested until: Click here to enter a date.
Feast fees are non-refundable.
Feast fee refunds may be requested prior to the event
No Refunds
Click here to enter text.
Click here to enter text.
Branch TreasurerSCA Name:
(for check disbursal)Modern Name:
Mailing Address:
City, State Zip Code:
Phone Number(evening):
E-Mail:
FEES:Select all fees that apply. Add additional information as applicable
Registration Start Date:Registration End Date:
Select / Fee Name(suggested) / Pre-Pay
Price / Upper
Age Limit / Lower
Age Limit / Quantity
Available
Site: Full Price
Minor Site
Child Site
Infant Site
Feast: Full Price
Child Feast
Family Max
Approvals:These email addresses will be used to contact you for final approvals.
Branch Seneschal:Signature:E-Mail:
Branch Treasurer:Signature:E-Mail:
Event Steward/ Autocrat:Signature:E-Mail:
Additional Comments (extra contact people, additional data distribution needs, etc.
For ACCEPS use onlyACCEPS Application for Event Registration
Postmarked: Group: ______Page 1 of 2
Check Date: Check #: Check Amt: Revised 6.7.2008